Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $401.04 / $718.64	Professional		$346.80	$401.04	$718.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $425.08 / $425.08 / $496.65	Professional		$425.08	$425.08	$496.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.88 / $525.50 / $1,032.45	Professional		$363.88	$525.50	$1,032.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.58 / $543.84 / $713.97	Professional		$421.58	$543.84	$713.97
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.88 / $437.19 / $834.16	Professional		$302.88	$437.19	$834.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.78 / $484.82 / $595.47	Professional		$361.78	$484.82	$595.47